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Comparison of human lumbar disc pressure characteristics during simulated spinal manipulation vs. spinal mobilization.

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机构: [1]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, Beijing 100142 [2]Department of Sinew Injury Manual Therapy Research, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102 [3]Department of Internal Medicine, Guangdong Province Corps Hospital of Chinese People's Armed Police Forces, Guangzhou, Guangdong 510507 [4]Department of Rehabilitation Medicine, Beijing DCN Orthopedic Hospital, Beijing 100143, P.R. China
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关键词: spinal manipulative therapy mobilization thrusting manipulation lumbar spine intervertebral disc pressure

摘要:
The present study aimed to investigate the differences in human lumbar intradiscal pressure (IDP) characteristics during simulated spinal manipulation and spinal mobilization. A total of 12 adult fresh lumbar spinal specimens (T12‑S2) were randomly divided into two groups. The parameters of simulated spinal mobilization were as follows: Preload angle, 15˚ (speed, 3˚/sec); maximum angle, 20˚ (speed, 1˚/sec); and 9 N horizontal force to the L5 spinous process. The parameters of simulated spinal manipulation were as follows: Preload angle, 15˚ (speed, 3˚/sec); impulse angle, 20˚ (impulse speed, 33˚/sec) and 22 N horizontal force to the L5 spinous process. The maximal IDP during both techniques was greater than the initial and end pressures (P<0.01). There was no difference between the initial and end IDP (P>0.05). The maximal IDP on the rotating side was greater than that on the contralateral side during the two techniques (P<0.05). There was no difference in both initial and end IDPs between the two sides (P>0.05). There was no difference in the maximal IDP between the two techniques (P>0.05). The ascending speed of IDP during manipulation was faster than during mobilization (P<0.01), while there was no difference in the descending speed between the two techniques (P>0.05). The maximal IDP on the rotating side was greater than the contralateral side during simulated spinal mobilization and manipulation (P<0.05). The ascending speed of IDP was faster during manipulation than mobilization (P<0.01). Therefore, thrust manipulation may have more instant impact to discs than mobilization.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
第一作者:
第一作者机构: [1]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, Beijing 100142
通讯作者:
通讯机构: [1]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, Beijing 100142 [2]Department of Sinew Injury Manual Therapy Research, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102 [*1]Department of Sinew Injury Manual Therapy Research, Wangjing Hospital of China Academy of Chinese Medical Sciences, 15 Huajiadi Street, Chaoyang, Beijing 100102, P.R. China [*2]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, 30 Fucheng Road, Haidian, Beijing 100142, P.R. China
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